Interfascial intercostal nerves block: alternative to epidural analgesia in open gastrectomy? Report on 4 clinical cases

  • María Teresa Fernández-Martín Department of Anaesthesia, Hospital Medina del Campo, Valladolid, Spain
  • Servando López-Álvarez Department of Anaesthesia, Hospital Abente y Lago, A Coruña, Spain
  • Mario Fajardo-López Department of Anaesthesia, Hospital Universitario de Móstoles, Madrid, Spain.
Keywords: Gastrectomy, Nerve Block, Analgesia, Epidural, Ultrasonography, Pain

Abstract

The ultrasound-guided intercostal nerves (cutaneous branches) block in the mid-axillary line at the level of the 8th rib (modified BRILMA) is an analgesic technique described back in 2015. Four patients undergoing open gastrectomy (who are not candidates for epidural analgesia) are discussed. The patients underwent the above-mentioned bilateral block, with the administration of 15 mL of levobupivacaine 0.5% into the fascial plane, between the serratus anterior muscle and the external intercostal muscle, with the aim of blocking the intercostal nerves T6 to 11. Postoperative pain control was adequate, with low levels of opioids used. There were no complications associated with the technique.

References

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How to Cite
1.
Fernández-Martín MT, López-Álvarez S, Fajardo-López M. Interfascial intercostal nerves block: alternative to epidural analgesia in open gastrectomy? Report on 4 clinical cases. Colomb. J. Anesthesiol. [Internet]. 2018 Jul. 1 [cited 2024 May 25];46(3):259-63. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/547

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Published
2018-07-01
How to Cite
1.
Fernández-Martín MT, López-Álvarez S, Fajardo-López M. Interfascial intercostal nerves block: alternative to epidural analgesia in open gastrectomy? Report on 4 clinical cases. Colomb. J. Anesthesiol. [Internet]. 2018 Jul. 1 [cited 2024 May 25];46(3):259-63. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/547
Section
Case Report / Case Series

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